Individual provider Active NPI

Don A. Sims, MSSW, LCSW

  • Clinical Social Worker
  • Paris, TN
National Provider Identifier
1306859855
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LSW0000000407 Issued in TN
Practice address
1117 E Wood St
Paris, TN 38242-4326
Phone
(731) 644-1089
Fax
(731) 644-2173
NPI assigned
Aug 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LSW0000000407 TN Primary

Addresses

Primary practice location

1117 E Wood St
Paris, TN 38242-4326

Mailing address

1117 E Wood St
Paris, TN 38242-4326
Phone (731) 644-1089

Other identifiers 1

IdentifierTypeStateIssuer
0085945OtherTNBCBST-DON A. SIMS, LCSW

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111214000724 TN Practitioner - Clinical Social Worker 5991970238 Practice locations: Paris, TN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1117 E Wood St
Paris, TN 38242-4326
Phone (731) 644-1089

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LSW0000000407TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Don a. Sims Clinical PastSince Oct 1, 1988 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306859855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 E WOOD ST",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382424326",
            "telephone_number": "731-644-1089",
            "fax_number": "731-644-2173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 E WOOD ST",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382424326",
            "telephone_number": "731-644-1089",
            "fax_number": "731-644-2173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS",
        "first_name": "DON",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "MSSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW0000000407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBST-DON A. SIMS, LCSW",
            "identifier": "0085945",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TN

Sources for this page

Verify at the official NPI Registry.